BP8731The City of Blair Building Permit Detail
Permit #: 8731 Issued: 11/15/1999
Completed: 12/27/1999
Owner: Brandon Beisheim
Address: 116 E Riverview Drive
Blair, NE 68008
Phone: 402 533 2276
Section: Township: Range:
Subdivision: Lot:
Wood picket fene 4' highin rear yard on property line.
Inspections Date By
12/27/1999 DEM
Remarks
Final Inspection of Project
Type: Fences -All types
Valuation: $600.00
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
SELF General Contractor Permit's issued
~~
`~~~ ~ ~ BUILDING PERMIT APPLI
~~ Jurisdiction of City of Blair, Nebraska
Permit Fee: ~ 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195
Application Date: ~j ~ ~~~~ ~ Issue Date: ,~~~-~'
JOB ADDRESS
r
LEGAL
1 . DESCR. LOT ND. LK• TRACT
^ SEE ATTACHED SHEET
OWNER
2. ~ MAIL ADDRESS Zlp PHONE
.5.~ -
CONTRACTOR MAIL ADDRESS ZIP PHONE
3.
4. Class of Work; NEW O ADDITION O REMODEL
5. Describe Work: - ~ O Finished Basement O Unfinished Basement
~~
I
r-C r' l"O i r ~ ,
6. Total Sq. Footage (Inc uding Basement and Garage): Total FInlShed Area;
7. Valuation of Work: $
Floodway O Yes O No
8. Floodplain: Dev. Permit
Elev. Cert.
Fringe O Yes O No BFE
9. Current Zoning:
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No
13. Minimum Setbacks: Front Side Rear
14. Sidewalk Required: O Yes O No Waiver Approved .
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air
conditioning, and septic systems. By my signature below, I acknowledge that payment
of the building permit application fee does not constitute issuance of this building
permit. I further agree that construction covered by this permit application shall not be
commenced until I have received a copy of this application form signed bythe Building
Inspector.
I hereby agree to perform the proposed work in accordance with the specifications set
forth above and in accordance with the codes/ordinances of the City of Blair and the
State of Nebraska. I understand that this permit is void if work is not commenced within
180 days or is not completed within 2 years of date of issue,
SIGNATURE OF OWNERICONTRACTDR
Comment:
TE
Site Plan Attached O Co ate Plans Attached
Approximate Completion Date ~a'~-~ ~,l
Inspections Required and Fees
Utilities
Sewer
Septic
Buildina
Footings
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical _
Rough-in
Final
Plumbina
Ground Work _
Rough-in
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By~ ~~
~~
Permit 8 7 3 ~
Water Service
Remote
Stop Box Card
Drywall -
(before finish)
Final
Fixtures
Permanent Service
A\C
CATION
POUNDS PRTG: Blair, NE / / Rev. 8796
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BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing. with particular code
requirements and/or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the Uniform. Building Code
requirements that apply to your project. Please understand this packet is only designed
and distributed to aid you in your building permit process. The Uniform Building Code is
available for your use at the Blair Public Library. ••
I have read the above disclosure and accept this building permit documentation on my
Town behalf assuming full responsibility as the owner/contractor for this project.
~~
6e o ~ ,
Owner/Occupant
City of Blair
Contractor
Date
21S S.16TH STREET, RLAIR, l~E 6~00>;•2010 a (402) 426-4191 • (402) 426-4195 FAX a E-MAIL: cityofblair@huntel.net
_ ~ ~ I
-r-__.-_ -.___--'-- _-~-._.-_ -~
- BUILDING INSPECTION REPORT
~, CITY OF BLAIIt'
1, ^; WAS tHINGTON COUNTY ~ p'(~pt
LOCATION OFINSP CTION: i ! ~ ~ , ~~/~ U ~ ~~
NAME OF OWNER: " /~ ~' ~~
ti CONTRACTOR: ~~~r
DATE INSPECTIONREQUESTED: PERMIT NO: ~ ~~
TIIvIE INSPECITgN REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING: C
F00 ~~~~ J~~~'Q
D TING ~ ^ FRAMING ~~DRYWALL [FINAL
UTILITIES: -
^ SEWER TAP ^ SEWER ^ SEPTIC ~ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH W ^ FIXTURES. Q FINAL, QMOTORS
PERMANENT_SERVICE ~ TEMPORARY SERVICE .,
MECHAN. IEALr
^-ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
RESUL`FS•OF THEINSPECTION:
s
NOTE9/IZEM.ARKS:
r~
n~~
ROU . -IN Q FINAL
PASSED. ~sl~ xo~rES~ ~ FAILED Esc No~s~ - `
,-- -
DATE OF:INSPECTION I~fADE: i ~ ` ~ ~" ~ ~ t ~'
} ~--~ f .TIME:.. ~ : '~~
CALLED OPPD\ ~ TO CONNECT SERVICE:
'~ YES ~NO
WANT OFFICE STAFF TO CALL OPPD\
-- - -- ^ YES ~ NO BLR 1 .
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